"CRUIZIN' WITH THE OLDIES"
in Casper, Wyoming
May 23,24,25 & 26, 2008

HOSTED BY:
OIL CAPITOL AUTO CLUB
Casper, Wyoming
   Headquarters:
 

Parkway Plaza Hotel
 

123 West "E" St.
Casper, WY 82601

(307) 235-1777
(800) 270-7829


INFORMATION:

Stan Goodwin
Show Chairman
H/(307) 265-7314
cell (307)258-6818

Phil Nissen
Co-Chairman
H/(307) 235-8889

2008 "CRUIZIN' WITH THE OLDIES" REGISTRATION FORM
Mail to: OCAC, 6465 Riverside Terrace, Casper, WY 82604

PLEASE PRINT CLEARLY

  Name:_____________________________________   Phone: (____)___________________
  Address: _______________________   City: ______________   State: _____   Zip: ________
  $35 ENTRY FEE FOR THE FIRST VEHICLE       (includes 2 adults and 2 children under 12)
  VEHICLE 1:YEAR____MAKE______MODEL__________Original__ Modified __ (Check One)

  $10 ENTRY FEE FOR THE SECOND VEHICLE (does not include any extra people)
  VEHICLE 2:YEAR____MAKE______MODEL__________Original__ Modified __ (Check One)
  $15 ENTRY FEE FOR ONE VEHICLE IN THE UNDER 21 CLASS
  VEHICLE 1:YEAR____MAKE______MODEL__________Original__ Modified __ (Check One)
 Under 21 Award---Date of birth __/__/__         (Must own this vehicle and have a drivers license)
  CLUB AFFILIATION______________________________________________________________
  T-SHIRTS   $13   S_____M_____L_____XL_____2X_____3X_____4X_____     Subtotal $______

Included with entry fee & in order to have enough food please answer the following
Friday Night Dinner 7PM                                 # Attending________________
Sunday night Ice Cream Social & Awards at 7pm # Attending________________
 Monday breakfast 7am-9am                                # Attending________________

  AMOUNT ENCLOSED $_______NUMBER IN PARTY ATTENDING:  Adults_____Kids____    

  SIGNATURE: ________________________ GUARDIAN:  _____________________________

As an entrant in the event, if you are not already a full fledged member, you will be granted Associate Membership in the Oil Capitol Auto Club for 2008. This will entitle you to all benefits due members except for voting privileges.

Release of Liability: Any participant under the age of 18 must have a parent or legal guardian sign the application. In consideration of the right to participate, entrants & participants by execution of this entry form, release and discharge the Oil Capitol Auto Club, City of Casper, State of Wyoming, their officers, directors, employees, agents, representatives and servants, and anyone else connected with management or presentation of the "Memorial Weekend Cruisin' with Oldies" activities from any and all known or unknown damage, injuries or losses, judgments, and/or claims from any cause whatsoever that may be suffered by any entrant to his person or property. Further, each entrant expressly agrees to indemnify all of the forgoing entities, firms, persons and bodies from any and all liability occasioned or resulting from the conduct of any entrant(s), participant(s)

Club Use Only
Vehicle #1 Entry # ____________   Vehicle #2 Entry # ____________
Original___ Modified ___ (Check One)                Original___ Modified ___ (Check One)          

CHECK #________            CASH __ AMOUNT $________